Recurrence rate after total laryngectomy for throat cancer

Written by Xu Qing Tian
Otolaryngology
Updated on February 01, 2025
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Laryngeal cancer is a common disease in otolaryngology and a relatively prevalent malignant tumor. Patients who undergo total laryngectomy often have advanced laryngeal tumors, which block the esophagus or pharynx and have tumor tissues too large for partial removal. The likelihood of recurrence after tumor resection varies from patient to patient, depending on the radiotherapy and chemotherapy administered post-operatively, as well as individual physical constitutions, which can alter recurrence rates. Generally, we recommend that patients undergo a laryngoscopic check-up every three to six months and a CT scan of the larynx post-surgery, to enable timely detection and treatment, aiming for early control and intervention in case of potential recurrence.

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Written by Li Rui
Otolaryngology
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Throat cancer should be seen in the otolaryngology department.

Throat cancer is a relatively common type of malignant tumor in the head and neck area. For diagnosis and treatment, it is primarily recommended to consult an otolaryngology department. After visiting otolaryngology, related auxiliary examinations are required. Common examination methods include laryngoscopy and CT of the neck, and some patients need to consider screening for new metastatic lesions throughout the body. If feasible, a PET-CT could be considered, which is relatively more accurate. It can assess the extent and severity of the disease, which helps in clinical staging and typing. In terms of treatment, surgery is the main method, and some patients may need to consider combined treatment with radiotherapy and chemotherapy.

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Written by Li Rui
Otolaryngology
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Can throat cancer be cured?

Throat cancer is a relatively common malignant tumor in the head and neck area. Some patients can achieve clinical cure, which generally means no local recurrence or distant metastasis for 5 years after the end of treatment. However, the specific treatment outcomes can vary significantly among individuals. Generally, early-stage throat cancer has better treatment outcomes and a higher 5-year survival rate. If it's in the middle to late stages, throat cancer tends to be more difficult to treat and the outcomes are poorer. Therefore, it's important to seek prompt treatment from an otolaryngologist after the onset of the disease, receive targeted treatment, and undergo regular follow-ups to monitor the efficacy of the treatment.

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Written by Li Rui
Otolaryngology
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The Difference Between Throat Cancer and Esophageal Cancer

Throat cancer and esophageal cancer have essential differences, starting with the specific location of the disease. Throat cancer primarily occurs in the glottis and the supraglottic area, while esophageal cancer mainly occurs in the esophagus. Typically, the symptoms of throat cancer may be more characteristic, the most common being a foreign body sensation in the throat, throat pain, and hoarseness. Particularly, glottic throat cancer symptoms are more pronounced, which might include persistent and noticeable hoarseness. The primary symptoms of esophageal cancer are pain below the neck, which may be accompanied by difficulty swallowing or swallowing obstruction. For diagnosis, throat cancer is primarily assessed via laryngoscopy, while esophageal cancer is typically evaluated through gastroscopy. In terms of treatment, the approach generally focuses on surgery, potentially supplemented by radiotherapy and chemotherapy.

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Written by Deng Bang Yu
Otolaryngology
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Does throat cancer require the removal of the throat?

Laryngeal cancer is a malignant tumor in the larynx, clinically mainly squamous cell carcinoma. The treatment of laryngeal cancer primarily involves comprehensive treatment centered around surgery, which is adapted according to the type of laryngeal cancer the patient has and the extent of the lesion. For some early-stage tumors, such as carcinoma in situ or T1 stage tumors, treatment often involves local removal with a laser or radiation therapy, after which a cure is achieved without the need for partial or total laryngectomy. This approach preserves the function of the larynx, especially the function of phonation. In summary, the treatment of laryngeal cancer should be based on its specific circumstances and does not necessarily involve the removal or excision of the larynx.

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Written by Sun Ming Yue
Medical Oncology
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Will throat cancer recur after surgery?

After undergoing surgical treatment for throat cancer, it is important to pay attention to your diet, arrange your daily routine reasonably, maintain a cheerful mood, and have regular follow-up exams as directed by your doctor. Generally, there is a possibility of recurrence within five years. It is recommended to consume some traditional Chinese medicines that have good anti-tumor effects to prevent the recurrence of the disease. Additionally, change your physical constitution and enhance your body's immunity.